Case Report

Primary Meningococcal Arthritis as Initial Presentation in a Previously Undiagnosed HIV-Infected Patient

Abstract:A 38-year-old African-American male complaining of pain in multiple joints was initially diagnosed with gouty arthritis concurrent with gonococcal septic arthritis. The diagnosis was made based on arthrocentesis results showing Gram-variable cocci and monosodium urate crystals in the synovial fluid. Final blood and synovial fluid cultures confirmed a diagnosis of…

Posted in: human immunodeficiency virus 23 infectious arthritis 2

Case Report

Streptococcus pneumoniae Septic Arthritis Complicating Hip Osteonecrosis in Adults: Case Report and Review of the Literature

A 42-year-old patient presented acutely with bacteremic pneumococcal pneumonia along with metastatic pneumococcal infection of the hip joint. Diagnostic evaluation revealed evidence of a pre-existing bilateral hip osteonecrosis. The osteonecrotic changes were attributed to chronic alcohol abuse and/or an old motor vehicle accident. Appropriate therapy was promptly instituted and the…

Posted in: hip joint 2 infectious arthritis 2 osteonecrosis 4 Streptococcus pneumoniae 6
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